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Contents

Purpose & Definition

The purpose of this article is to explain the examination model of regional interdependence. Simply put, regional interdependence is the concept that seemingly unrelated impairments in a remote anatomical region may contribute to, or be associated with, the patient’s primary complaint.[1] Current research has shown that regional interdependence can be affected not only by other regions in the musculoskeletal system but impairements from varying body systems and regions.[2]

Why Use the Regional Interdependence Model?

The regional interdependence model of examination allows the PT to go beyond traditional, often vague, and even sometimes misleading musculoskeletal diagnoses, and provide optimal care to their patients. Often times, the contributors for these disorders may not be as straight-forward as they appear.[3] For example, patients who complain of LBP may actually be suffering from disorders of the hip or knee joint. Examination of proximal and distal joints in the same region of the reported pain and dysfunction is vital to the concept of regional interdependence. It is important to remember, that regional interdependence is different than referred pain.

Examples in Literature

There are numerous examples in the literature of the concept of regional interdependence being a viable option for PT examination and intervention planning. Here are a few examples of regional interdependence at work:

Clinical Relevance

Regional interdependence is part of the rationale behind the use of thrust manipulations for regional conditions, Recent research has shown that there may be a neurophysiological change that produces an improvement in pain and outcomes in musculoskeletal disorders.[18] While local treatment is usually the first approach to rehab, the regional interdependence model can be utilized for persistent and chronic pain.[2]

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